Jardine, Crista Ann

Jardine, Crista Ann is an sole proprietor health care provider with primary practice located at 2499 Fieldstone Dr , Ammon ID 83401-5854. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Jardine, Crista Ann can be contacted via phone (208) 681-6677.

Contact Information

Primary practice address
2499 Fieldstone Dr Ammon ID 83401-5854
Phone: (208) 681-6677
Fax: (208) 209-8574
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X PTA-110 Idaho

Profile Details

NPI number 1215270053
LBN Legal business name Jardine, Crista Ann
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2013
Last updated Mar 29th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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